Concept - Clinical Judgement Exam Questions and
Correct Answer
1. Clinical Judgement - definition correct answer: An interpretation or conclusion about a
patient's needs, concerns or health problems, and/or the decision to take action (or not), use or
modify standard approaches, or improvise new ones as deemed appropriate by the patient's response.
2. 3 attributes of clinical judgement correct answer: holistic view of the patient situation,
process orientation, reason-
ing an interpretation
3. Four key aspects of the Clinical Judgement Model and the sequence in
which they occur. correct answer: Noticing, interpreting, responding, reflecting
4. 3 components of knowledge from which the nurse's "noticing" of the
clinical situation is derived. correct answer: The background of the nurse (including
intrapersonal characteristics, ethical grounding
for what is right, previous experiences, and theoretical knowledge), the nurse's relationship with the patient,
and the context of care.
5. Responding correct answer: Once the patient data have been sorted and interpreted, the nurse
uses his or her interpretation
to respond to the particular patient issue through one or more nursing interventions.
6. Interpreting correct answer: Using the particular patient data as well as germane theoretical and
experiential knowledge, the nurse begins to assemble all the information to make sense of it.
7. Reflection-in-action correct answer: Reflection-in-action refers to the nurse's understanding of
patient responses to nurs- ing actions while care is occurring
8. Reflection-on-action correct answer: Reflection-on-action is consideration of the situation after the
patient care occurs. In reflection-on-action, the nurse contemplates a situation and considers what was
successful and what was unsuccessful.
9. Example of Reflection-in-action correct answer: the nurse chooses a pain medication dose
based on many factors; while administering the medication intravenously, the nurse is continually
assessing and reflecting on the patient's response to medication. This is an example of reflecting-in-
action. If the desired response is not achieved, the nurse may need to return to interpreting the data in
order to respond with a ditterent intervention.
10. Example of Reflection-on-action correct answer: the nurse may take some time
at the end of his or her shift to analyze why he or she intervened in a specific way for this particular
patient and to consider whether the intervention was successful. Reflection-on-action is when significant
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, learning from practice occurs and it is important to the development
of increasing skillfulness as a nurse.
11. Antecedents of clinical judgement correct answer: Sound judgement skills,
analytical reasoning skills, awareness of patient and self, creativity/inquisitiveness, sound
knowledge base, persistence
12. The nurse uses clinical judgment to compare actual nursing
outcomes to the expected nursing outcomes to correct answer: correct answer: Determine
if progress is made or to determine if revisions are needed.
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Correct Answer
1. Clinical Judgement - definition correct answer: An interpretation or conclusion about a
patient's needs, concerns or health problems, and/or the decision to take action (or not), use or
modify standard approaches, or improvise new ones as deemed appropriate by the patient's response.
2. 3 attributes of clinical judgement correct answer: holistic view of the patient situation,
process orientation, reason-
ing an interpretation
3. Four key aspects of the Clinical Judgement Model and the sequence in
which they occur. correct answer: Noticing, interpreting, responding, reflecting
4. 3 components of knowledge from which the nurse's "noticing" of the
clinical situation is derived. correct answer: The background of the nurse (including
intrapersonal characteristics, ethical grounding
for what is right, previous experiences, and theoretical knowledge), the nurse's relationship with the patient,
and the context of care.
5. Responding correct answer: Once the patient data have been sorted and interpreted, the nurse
uses his or her interpretation
to respond to the particular patient issue through one or more nursing interventions.
6. Interpreting correct answer: Using the particular patient data as well as germane theoretical and
experiential knowledge, the nurse begins to assemble all the information to make sense of it.
7. Reflection-in-action correct answer: Reflection-in-action refers to the nurse's understanding of
patient responses to nurs- ing actions while care is occurring
8. Reflection-on-action correct answer: Reflection-on-action is consideration of the situation after the
patient care occurs. In reflection-on-action, the nurse contemplates a situation and considers what was
successful and what was unsuccessful.
9. Example of Reflection-in-action correct answer: the nurse chooses a pain medication dose
based on many factors; while administering the medication intravenously, the nurse is continually
assessing and reflecting on the patient's response to medication. This is an example of reflecting-in-
action. If the desired response is not achieved, the nurse may need to return to interpreting the data in
order to respond with a ditterent intervention.
10. Example of Reflection-on-action correct answer: the nurse may take some time
at the end of his or her shift to analyze why he or she intervened in a specific way for this particular
patient and to consider whether the intervention was successful. Reflection-on-action is when significant
1/
11
, learning from practice occurs and it is important to the development
of increasing skillfulness as a nurse.
11. Antecedents of clinical judgement correct answer: Sound judgement skills,
analytical reasoning skills, awareness of patient and self, creativity/inquisitiveness, sound
knowledge base, persistence
12. The nurse uses clinical judgment to compare actual nursing
outcomes to the expected nursing outcomes to correct answer: correct answer: Determine
if progress is made or to determine if revisions are needed.
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